Ryan Fuller, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0932 Issued in NH

Practice address

827 Central Ave Ste 3
Dover, NH 03820-2577

Phone

(603) 343-1123

Fax

(603) 343-1405

NPI assigned

Jul 29, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

New England College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of New Hampshire PLLCGroup PAC ID 2961810981, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Myeyedr Optometry of New Hampshire, PLLC

  • Optometrist
  • Milford, NH
  • NPI 1730764754
  Medicare reassignment Care Compare group NPD
• Fox Run Eye Care, P.L.L.C.

  • Optometrist
  • Greenland, NH
  • NPI 1215116066
  Medicare reassignment NPD
• Myeyedr Optometry of New Hampshire, PLLC

  • Optometrist
  • Concord, NH
  • NPI 1174482194
  NPD
• Myeyedr Optometry of New Hampshire, PLLC

  • Optometrist
  • Epping, NH
  • NPI 1447835467
  NPD
• Myeyedr Optometry of New Hampshire, PLLC

  • Optometrist
  • Hampton, NH
  • NPI 1366027385
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1982157624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 CENTRAL AVE STE 3",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202577",
            "telephone_number": "603-343-1123",
            "fax_number": "603-343-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "RYAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-29",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashton Frey, OTR/L
• Katherine B Frick, MSW
• Jacquelyn Kyra Frobese, D.C.
• John J Froelich, M.D.
• Mary L Fudge, MD
• Michelina Gabriel
• Sarah Marie Gaffney-Cobb, PA-C
• Samantha Gagne, PA-C
• Christopher Eric Gagnon, AGACNP-BC
• Denise Anne Hanley Gagnon, PA

• Optometrist in Dover, NH
• Providers in Dover, NH by specialty
• Optometrist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.